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JACOB DEESE PT, DPT, ATC
NPI 1073047759
Physical Medicine & Rehabilitation - Sports Medicine in Pineville, NC

Active since April 19, 2017Accepts Medicare Assignment
13333 DORMAN RD, PINEVILLE, NC 28134(704) 716-1024 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 9, 2021, Apr 19, 2017 (2 updates tracked since 2017).

About Jacob Deese Pt, Dpt, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB DEESE PT, DPT, ATC (NPI 1073047759) is an individual sports medicine provider in Pineville, North Carolina, licensed in North Carolina (P20196) and active in the NPI registry since April 2017. He maintains a secondary practice location in Marshville and is a graduate of Other (2020).

NPPES Registry Identity

NPI1073047759
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameJACOB DEESECredential: PT, DPT, ATC
Location Address13333 DORMAN RDPineville, NC 28134-9336
Mailing Address6527 Olive Branch RdMarshville, NC 28103-9606
Phone(704) 716-1024
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 19, 2017
Last NPPES UpdateFebruary 9, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1073047759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License✔ Licensed in NC · P20196
Definition
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License LAT-2888 (NC)
13333 DORMAN RD, Pineville, NC 28134
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Secondary Practice Location 1

Location 16527 Olive Branch RdMarshville, NC 28103-9606 · Phone (704) 624-3395

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Deese Pt, Dpt, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911314711
PECOS Enrollment IDI20210323001140

Medicare Billing Reassignment

Medicare enrollment records show Jacob Deese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Breakthrough Physical Therapy Inc
126 mi
Physical Therapist
981 HIGH HOUSE RD STE 100
Cary, NC 27513
  • Reassigned Medicare billing, North Carolina enrollment
  • 147 clinicians in this Medicare group
NPI 1558598532 (919) 388-0111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
154 services15 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
125 services14 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
101 services14 patients

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL PROMUTICO DPT
Physical Therapist
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024
EMILY CATTANACH PT
Physical Therapist
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024
LINDSAY JAKSZTA DPT
Physical Therapist
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024
COURTNEY POWELL DPT
Physical Therapist (Orthopedic)
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024
ANN THERESA FRANCIS LAT, ATC
Specialist/Technologist (Athletic Trainer)
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024
MR. JONATHAN CHANG ATC
Specialist/Technologist (Athletic Trainer)
13333 DORMAN RD
PINEVILLE, NC 28134
Mecklenburg County (704) 716-1024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Deese's NPI number?

The NPI number for Jacob Deese is 1073047759. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Jacob Deese located?

Jacob Deese practices at 13333 Dorman Rd, Pineville, NC 28134. The listed phone number is (704) 716-1024.

What is Jacob Deese's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Jacob Deese enrolled in Medicare?

Yes. Jacob Deese is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jacob Deese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Deese reassigns Medicare benefits to Breakthrough Physical Therapy Inc (Cary, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Deese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Deese accept?

Health plans from AmeriHealth Caritas Next list Jacob Deese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Deese was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.